HomeMy Public PortalAbout5544 PAL MAL AVE_Electrical__ c
P � / 1
I'° "°° APPLICATION FOR ELECTRICAL PERMIT 'I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING�f QL
BUILDING AND SAFETY DIVISION ADDRESS JJ
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSSS T. S
PERMIT FEES
OWNER :�i-1+-t
ITEM NUMBER EACH PEE MAIL
OUTLE Z $ ADDRESS ze
LIGXT9 RECE BW. .IG
LIGHTING FIXTURES 10 131)
CITY TEL NO
ELEC. RANGES CLO. DRYERS ELECTRICIAN Z
WATER HEATERS .50 ADDRESS l �T •t'Lt-C/
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO
y AUTO.- STATE LgqCESSCE)D
6TA.C OKING UNITS .25 LICENSE NO.MOTORS: OVER INC. M.P. DISTRICTNO. GROUP ZONE
O %z .25
v V. - 2 .50 INSPECTION RECORD
2 - 5 1.00
D - 151.50 O
V
is - 50 1 2.50 w
O
SO - 200 5.00 ~
U
w
SIGNS: NO T N
NO. LAMPS
z.
SERVICE O.SOOV 1.00
SERVICE OVER 80OV 5.00
MISC.
WIRING PERMIT 1,00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,5p
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TMIS PLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRI NO. WIRING O
1 HEREBY CERT THAT 1 AM PROPER REGISTERED ANO/OR
LICENSED AS R UI ED STY LOS ANGELS OU NTY AND STATE OF FIXTURES
CALIFORNIA OR TH I M THE LEGAL R OF TH ABOVE
DESCRIBED RE91 N IA ROPERTY/' POWER
SIGNATURE L i�•. L� ; UTILITY CO. NOTIFIED
OF PERM"
FINA
(DATION ARTHURC.VEIT.
CK NO CASH SUPERVISING ELECTRICAL ENGINEER
Flso 7 0 0 2 _ -.7 L -
ti "A"' °"° APPLICATION FOR ELECTRICAL PERMIT�� ;WZ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS ,q
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OUTLETS NO. EACH PEE OWNER OR
FIRM NAME
RECEPT. S $
MAIL
LIGHT TOTAL
PLAN CHECK
A-77L FIRST 20 a p �� ADDRESS
SS
$1_ OVER 20 7 .3,Ojy �. CITY TEL. NO
SWITCH
LIGHTING l TOTAL FIRST 20 ,S3 APPLICANT
J}
FIXTURES OVER 20 40, ,39 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE_ORYER_WTR. HTR._ APPLICANT `p
STA. COOK_DISP._F.A.U._ ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.??,R-
CLOTHES WASH. DISHWASH._ REG NUMBER CLASS —/U
/J Z,
FAN_60THER HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE DIVA E CORRECT AND AGREE E COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STAT! LAWS REGULATING
IND. HEA& TY ETC, NP. KW. KVA. ELECTRICAL WIRING.
512E S TYPE OVER i0
I HERESY CERTIFY THAT I AM PROPERLY REGIS AND/OR
0 - 1 LICE NSEO AS REQUIRED BY LO GELES COUNTY ANDND STATE OF
CALIFORNIA OR THAT 01
AM E EGAL OWNER OF THE ABOVE
I - 10 300 DESCRIBED RESIDENTIAL F OPER Y.
PERMITEE
10 - BO 5.00 SIGNATURE H
CJ
60 - 100 10.00 W
DISTRICT NO ROCESSE BY h
100 - Soo 1500 _ Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVAL$ DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
S ERV I CE NOT OVER 600 VOLTS OR 200 AM P �� UN13ERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, IN APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES w
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALID AtI%Fr,'j ., .o. CASH PERMIT VALIDATION M.o. CASH
8 5 89JOL 44 2 U 3 `;,6j 'v a_dc
�P(O�L_I/C^']rJ AH�O1,L�[D]ECF(?';: , f ��
9F�J�jG A* U9j3CQ* COMPLETE SCHEDULE - Q